Pain Management Nursing Practice Exam

What is the best way to schedule medication for a client with constant pain?

1. As needed (PRN) at the client's request

2. Before painful procedures

3. IV bolus after pain assessment

4. Around-the-clock

The correct answer is: Around-the-clock

Scheduling medication around-the-clock is the optimal approach for a client experiencing constant pain. This method ensures a steady level of pain relief by maintaining therapeutic drug levels in the body, which is crucial for managing ongoing discomfort effectively. With continuous dosing, the risk of pain peaks is minimized, thereby enhancing the client’s overall quality of life. In cases of chronic pain, relying solely on as-needed (PRN) dosing may lead to periods of unmanaged pain, as the medication is only administered when the client requests it. This can result in a cycle of pain that is difficult to control. Similarly, medication scheduled only before painful procedures may not address the continuous nature of the pain experienced by the client, and using an IV bolus after pain assessment does not provide proactive management of pain when it is anticipated to be present consistently. Thus, implementing a round-the-clock schedule maximizes pain control and contributes to better patient outcomes.